Licensee Name:LLUMC - EAST CAMPUS HOSPITAL PHARMACY
License Type:LICENSED STERILE COMPOUNDING
License Number:100286
License Status:CLEAR Definition
Expiration Date:February 01, 2016
Issue Date:June 04, 2014
Address:25333 BARTON ROAD
City:LOMA LINDA
State:CA
Zip:92354
County:SAN BERNARDINO
Actions:No
NumberNameTypeStatus
39820LOMA LINDA UNIVCOM HSP PHYHOSPITAL PHARMACY CLEAR
60504GOBIN ANTONY IVOREGISTERED PHARMACISTCLEAR

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